Individual
MELISSA KAYE WAFFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
6425 DIXIE HWY, FLORENCE, KY 41042-2101
(859) 282-0431
(859) 282-1482
Mailing address
6425 DIXIE HWY, FLORENCE, KY 41042-2101
(859) 282-0431
(859) 282-1482
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN-306449-1
OH
363L00000X
Nurse Practitioner
Primary
3009955
KY
363LA2200X
Adult Health Nurse Practitioner
COA.16268-NP
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100436560
—
KY
Enumeration date
07/17/2014
Last updated
01/24/2017
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